Objectives:To determine the gap between knowledge and practices of using face masks and respirators among PakistaniHealth care professionals (HCPs) during peak of first wave of COVID-19. Study Design and Settings:A Cross-sectional online survey of HCPs from different parts of the country was conductedfrom April-July 2020. Methodology:A self-administered questionnaire was created using guidelines issued by World Health Organization (WHO)and Centre of Disease Control (CDC) on use of masks and respirators in COVID-19 pandemic. It was distributed via emailand social media platforms. Valid responses (402) were analyzed by SPSS V.26. Descriptive statistics and chi square testwas applied and p-value < 0.05 was considered statistically significant. Results:The knowledge of Pakistani HCPs about masks and respirators was satisfactory but practices were not in line withcurrent guidelines by WHO and CDC. Majority reported that they considered wearing mask/respirators in correct way butonly 34% participants knew all steps of wearing a surgical mask and few knew all steps of wearing an N95 respirator.Concepts like fit test, seal and integrity of mask and respirators, hand hygiene, life of one mask/respirator and their reuse were not clear among most of respondents. Conclusion:In this diverse sample of Pakistani HCPs, practice of using face masks and respirators was not as per the guidelines despite adequate knowledge. Lack of sufficient practice in using mask and respirators were noticed.

Gastrointestinal tract duplications are rare congenital malformations that are benign, presenting usually in childhood. Most common sites include the distal ileum and oesophagus. Rectal presentation is quite uncommon and is usually cystic. This is a case of a three year old boy who came with rectal prolapse. On further examination and imaging investigations a presacral cyst was located and a diagnosis of rectal duplication was made. The cyst was completely excised by a posterior sagittal approach.

Background: Gastrointestinal tract duplications are rare congenital malformations that are benign, presenting usually in childhood. Most common sites include the distal ileum and esophagus. Rectal presentation is quite uncommon and is usually cystic. Case Presentation: This is a case of a 3-year-old boy who came with rectal prolapse. On further examination and imaging investigations, a presacral cyst was located and a diagnosis of rectal duplication was made. The cyst was completely excised by a posterior sagittal approach. Conclusion: Rectal duplication is a rare entity that may simulate a rectal prolapse.